NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: ESTATE OF: CASE NUMBER: SUPPLEMENT TO PETITION FOR PROBATE RE CHARACTER AND VALUE OF DECEDENT'S PROPERTY (Item 3c of Petition for Probate) HEARING DATE: DEPT.: TIME: Petitioner, (name) , hereby supplements her/his response to item 3(c) of his/her Petition for Probate filed herein as follows: (A response is required for each line below. If your response is zero, please write "0.") Line 1 Line 2 Line 3 Line 4 Line 5 Line 6 Line 7 Value of decedent's cash, bank accounts, and other personal property $ Annual gross income from decedent's real estate (rental income, etc.) $ Annual gross income from decedent's personal property (interest income, dividends, etc.) Subtotal (add Lines 1, 2, and 3 above) Gross fair market value of decedent's real estate $ Balance of all mortgages and other encumbrances on decedent's real estate $ Net value of real estate (subtract Line 6 from Line 5) TOTAL (add Lines 4 and 7) $ $ $ $ Line 8 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct of my own personal knowledge, except as to matters stated on information and belief, and as to those matters I believe them to be true. Dated: (Signature) Petitioner (Typed or Printed Name) Supplement to Petition for Probate re Property PRO 034 02/12 PC 8802, 10450 American LegalNet, Inc. www.FormsWorkFlow.com